Organization
AGING IN MY PLACE MOBILITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISE WALLACE (MEMBER)
(248) 496-6159
Entity
Organization
Contact information
Practice address
3819 CLINTONVILLE ROAD, WATERFORD, MI 48329-2418
(248) 496-6159
(248) 934-0741
Mailing address
5036 DIXIE HIGHWAY, SUITE 300253, WATERFORD, MI 48330
(248) 496-6159
(248) 934-0741
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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